Recovery Timeline for Post-Surgery Rehabilitation After Fractures - Rehabilitation

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Surgical rehabilitation after a fracture?


Hello doctor, I would like to ask, after having a titanium plate inserted for a left thigh fracture on June 7 and experiencing a calf strain in the right leg, I started rehabilitation slowly in the fourth week.
I would like to know, generally after a fracture surgery, if rehabilitation is done consistently, how long will it take for knee stiffness (unable to descend stairs) and thigh muscle weakness to improve?

Libero, 50~59 year old female. Ask Date: 2021/07/31

Dr. Li Yanheng reply Rehabilitation


The recovery of muscle strength after a fracture varies significantly depending on the individual's physical condition, rehabilitation progress, and level of commitment, and it may take anywhere from three months to six months.

Reply Date: 2021/07/31

More Info


The recovery timeline for post-surgery rehabilitation after fractures can vary significantly based on several factors, including the type and severity of the fracture, the surgical procedure performed, the individual's overall health, and their commitment to rehabilitation. In your case, you mentioned that you had a fracture in your left thigh and a strain in your right calf, and you began rehabilitation four weeks post-surgery.
Generally, after a fracture surgery, the initial focus is on healing and regaining range of motion. For lower extremity fractures, especially in the thigh, it is common to experience stiffness in the knee joint and weakness in the thigh muscles. The timeline for improvement can be broken down into several phases:
1. Initial Healing Phase (0-6 weeks post-surgery): During this period, the primary goal is to allow the fracture to heal. You may be advised to limit weight-bearing activities and focus on gentle range-of-motion exercises. This phase is crucial for preventing complications such as stiffness and muscle atrophy.
2. Early Rehabilitation Phase (6-12 weeks post-surgery): Once the doctor confirms that the fracture is healing well (often through follow-up X-rays), you can begin more active rehabilitation. This includes physical therapy focused on improving knee flexion and strengthening the thigh muscles. You might start with passive range-of-motion exercises, gradually progressing to active exercises as tolerated.
3. Strengthening Phase (3-6 months post-surgery): As healing continues, the focus shifts to strengthening the muscles around the knee and thigh. This phase may include resistance training and functional exercises to improve balance and coordination. If you are consistent with your rehabilitation program, you can expect to see significant improvements in muscle strength and knee function during this time.

4. Return to Function (6-12 months post-surgery): Many patients can return to their pre-injury level of activity within 6 to 12 months, depending on the severity of the injury and the effectiveness of rehabilitation. However, some individuals may experience lingering stiffness or weakness that can take longer to resolve.

In your specific case, if you are experiencing knee stiffness that prevents you from descending stairs, it is essential to communicate this with your physical therapist. They can tailor your rehabilitation program to address these specific limitations. Typically, with consistent and focused rehabilitation, you may start to see improvements in knee flexion and muscle strength within 6 to 12 weeks after beginning therapy. However, full recovery can take several months, and it is crucial to be patient and adhere to your rehabilitation plan.

Additionally, it is important to monitor for any signs of complications, such as increased pain, swelling, or instability in the knee. If you experience any of these symptoms, you should consult your orthopedic surgeon or physical therapist for further evaluation and adjustment of your rehabilitation program.

In summary, while the timeline for recovery can vary, with a dedicated rehabilitation effort, many patients can expect to see improvements in knee function and muscle strength within a few months post-surgery. Regular follow-ups with your healthcare provider will help ensure that you are on track for a successful recovery.

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